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- Could you please help me with a nursing care plan on this patient? George palo is a 90 year old male who has been living independently in one of our apartments since shortly after the death of his wife of 65 years, Anna 3 years ago . He was diagnosed with minor neurocognitive decline, like Alzheimer’s type 6 months ago and was prescribed donepez. He also has mild hypertension and is being medicated for that as well. The patient was managing well until 2 months ago when max his 13 year old golden retriever died Maggie his daughter, recently contracted us to as for a visit because she is concerned that he seems to have become more forgetful and weaker, and she thinks his clothes look bigger, so he may have lost weight recently. The nursing care plan should include: Assessment,6 nursing diagnosis,(3 physiological and 3 psychological) outcomes and goals, nursing action and evaluation. (ADPIE) format.A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.A 75-year-old man with terminal small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife, who cares for him at home, states that he is quite weak at baseline, requiring assistance with all activities of daily living. Over the past few days, he has becomeprogressively more lethargic. She has been careful to adequately hydrate him, waking him every 2 hours to give him water to drink. His appetite has been poor, but he willingly ingests the water, consuming 2–3 quarts per day. He is taking morphine for pain and dyspnea. On examination, the patient is a cachectic white man in mild respiratory distress. He is lethargic butarousable. He is oriented to person only. Vital signs reveal a temperature of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head-neck examination, pupils are 3 mm and reactive, scleras are anicteric, and conjunctivas are…
- A 75-year-old man with terminal small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife, who cares for him at home, states that he is quite weak at baseline, requiring assistance with all activities of daily living. Over the past few days, he has becomeprogressively more lethargic. She has been careful to adequately hydrate him, waking him every 2 hours to give him water to drink. His appetite has been poor, but he willingly ingests the water, consuming 2–3 quarts per day. He is taking morphine for pain and dyspnea. On examination, the patient is a cachectic white man in mild respiratory distress. He is lethargic butarousable. He is oriented to person only. Vital signs reveal a temperature of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head-neck examination, pupils are 3 mm and reactive, scleras are anicteric, and conjunctivas are…Ingrid is a 62-year-old retired labor and delivery nurse. She was diagnosed with terminal pancreatic cancer with metastasis 2 weeks ago. She is a divorced and has three adult children who live in other cities. Home care was not an option so Ingrid agreed to be admitted for palliative care in the local hospice. On the second day after her arrival the nurse finds Ingrid crying and holding her abdomen. Ingrid states, “After all the years I nursed people and looked after so many strangers, why do I have to be alone now when I need someone? It’s not fair.”(Learning Objectives 4,5) 1. What would an appropriate and therapeutic response be to Ingrid’s comment? 2. What interventions should be included in the nurse’s plan of care for the day? 3. What can be done for symptom management?A 75-year-old man with terminal small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife, who cares for him at home, states that he is quite weak at baseline, requiring assistance with all activities of daily living. Over the past few days, he has becomeprogressively more lethargic. She has been careful to adequately hydrate him, waking him every 2 hours to give him water to drink. His appetite has been poor, but he willingly ingests the water, consuming 2–3 quarts per day. He is taking morphine for pain and dyspnea. On examination, the patient is a cachectic white man in mild respiratory distress. He is lethargic butarousable. He is oriented to person only. Vital signs reveal a temperature of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head-neck examination, pupils are 3 mm and reactive, scleras are anicteric, and conjunctivas are…
- A 75-year-old man with terminal small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife, who cares for him at home, states that he is quite weak at baseline, requiring assistance with all activities of daily living. Over the past few days, he has become progressively more lethargic. She has been careful to adequately hydrate him, waking him every 2 hours to give him water to drink. His appetite has been poor, but he willingly ingests the water, consuming 2–3 quarts per day. He is taking morphine for pain and dyspnea. On examination, the patient is a cachectic white man in mild respiratory distress. He is lethargic but arousable. He is oriented to person only. Vital signs reveal a temperature of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head-neck examination, pupils are 3 mm and reactive, scleras are anicteric, and conjunctivas are…Your patient has just been diagnosed with breast cancer. What assessment findings can support this diagnosis? What risk factors are associated with this condition? What education would you provide this patient for lifestyle modification? What ongoing assessment/testing should be considered for your patient?https://consumer.healthday.com/1-6-women-may-be-able-to-transmit-cancer-to-infants-in-childbirth-reports-suggest-2649729671.html?fbclid=IwAR1pVWqi9PDHLtLeM3kYbhCAzNmfYShUTSaKdxZF5eo3jl7r4Ruf4J_eroo You may or may not have gotten the HPV vaccine, what would you suggest for others,maybe a brother or sister, or a friend. Should girls get the vaccine? Should boys? Justify your position with details from this case. Your writing should reflecting an understanding of HPV, cancer, and the cell cycle.
- A 25 -year-old female teacher was brought by her husband to the Out-Patient-Department due to frequent verbal and physical attacks every time they have personal problems, even minor ones. On such occasions, she was unusually talkative and was always up and about. During certain months prior to this, she was however unusually silent manifesting signs and symptoms of “exaggerated sadness” for no reason at all. She insisted on remaining alone in their room. What is her illness and what drug should be used for treatment?You are providing the immediate preoperative care for a womanscheduled for surgery to remove a brain tumor. She tells you shedoes not want the surgery because she knows she is dying andjust wants to go home to be with her husband and children. Shealso knows that her husband cannot accept the fact that she is dying and wants her to have the surgery. What do you do?1. Today, Stedman passed away. You cared for him for almost three years, and he had become one of your favorite residents. There is a new girl, Sheila, working on the unit today. She is afraid of death; she has never experienced it before. You go find Sheila after Stedman dies and ask her to help you with post-mortem care. She agrees. When you get into Stedman's room, his wife is still there and is very upset. Sheila starts sobbing uncontrollably-so much so that Stedman's wife is consoling her. a) What should you do in this situation?
